Membership Application

* Company Name:
Address:
Address 2:
City:   Country:
 
State/Province:   Zip/Postal Code:
 
Phone:   Fax:
 
Toll Free:    
   
Website:
* Email for Company Account:
Date Business Started:
Copy of state certificate of incorporation, or document
confirming date business started (Maximum size of 64 megabytes)

If not available in an electronic format, please mail or fax to the WMIA.
* Type of Membership:
 
* Contact Person for the WMIA:   Title:
 
Contact Person Email:
Other Individuals:
Please indicate which of the following committees you’d
be interested in serving on:
Technology Review Marketing
Education Membership
Other Association Memberships:
Recommended By:
Reason for wanting to join the WMIA:
Previous/planned participation at trade shows:
Machinery manufacturers represented:   Length of time represented:
 
 
 
 
 
 
 
 
Percentage of business attributed to direct
machinery imports for your own account:
  Territory served:
 
Name of woodworking program:
In the last three years, our company has worked with these companies
(machinery importers, distributors, dealers, manufacturers or end users):
Company Name:
Address:
City:   Country:
 
State/Province:   Zip/Postal Code:
 
Phone:   Fax:
 

Company Name:
Address:
City:   Country:
 
State/Province:   Zip/Postal Code:
 
Phone:   Fax:
 

Company Name:
Address:
City:   Country:
 
State/Province:   Zip/Postal Code:
 
Phone:   Fax:
 
 
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